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一名蛋白尿和血小板减少症患儿的[变异情况]:病例报告及文献综述

variant in in a child with proteinuria and thrombocytopenia: a case report and literature review.

作者信息

Xie Dan-Feng, Zhu Lin, Wang Xiao-Meng, Li Yun, Zhou Ping

机构信息

Department of Pediatric Nephrology, Allergy, and Rheumatology, Sichuan Provincial Women's and Children's Hospital, The Affiliated Women's and Children's Hospital of Chengdu Medical College, Chengdu, Sichuan, China.

Sichuan Clinical Research Center for Pediatric Nephrology, Chengdu, Sichuan, China.

出版信息

Front Pediatr. 2025 May 9;13:1502727. doi: 10.3389/fped.2025.1502727. eCollection 2025.

DOI:10.3389/fped.2025.1502727
PMID:40416435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12098102/
Abstract

There is a lack of awareness of the diagnosis and treatment of -related disorder (-RD), which is an autosomal dominant disease with heterogeneous clinical manifestations. We summarized the clinical phenotype and reported a variant in in a child with focal segmental glomerulosclerosis (FSGS) and reviewed the relevant literature to better understand -RD. Unlike previous cases, this patient exhibited IgA deposition in the mesangial region, suggesting need for further investigation into prognostic and therapeutic significance of this finding. To reduce the risk of -RD misdiagnosis, we recommend assessing mean platelet diameter and granulocyte inclusions in patients with unexplained proteinuria and refractory thrombocytopenia.

摘要

人们对[疾病名称]相关疾病([疾病名称]-RD)的诊断和治疗缺乏认识,这是一种常染色体显性疾病,临床表现具有异质性。我们总结了临床表型,并报告了一名患有局灶节段性肾小球硬化(FSGS)儿童的[基因名称]中的一个变异体,并回顾了相关文献以更好地了解[疾病名称]-RD。与之前的病例不同,该患者在系膜区出现IgA沉积,提示需要进一步研究这一发现的预后和治疗意义。为降低[疾病名称]-RD误诊风险,我们建议对不明原因蛋白尿和难治性血小板减少症患者评估平均血小板直径和粒细胞包涵体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/c8736f99a994/fped-13-1502727-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/3c0dbb18e837/fped-13-1502727-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/85d9fbf6dbe3/fped-13-1502727-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/c8736f99a994/fped-13-1502727-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/3c0dbb18e837/fped-13-1502727-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/85d9fbf6dbe3/fped-13-1502727-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d33/12098102/c8736f99a994/fped-13-1502727-g003.jpg

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variant in in a child with proteinuria and thrombocytopenia: a case report and literature review.一名蛋白尿和血小板减少症患儿的[变异情况]:病例报告及文献综述
Front Pediatr. 2025 May 9;13:1502727. doi: 10.3389/fped.2025.1502727. eCollection 2025.
2
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本文引用的文献

1
SFN promotes renal fibrosis via binding with MYH9 in chronic kidney disease.SFN 通过与 MYH9 结合促进慢性肾脏病肾纤维化。
Eur J Pharmacol. 2024 Sep 15;979:176806. doi: 10.1016/j.ejphar.2024.176806. Epub 2024 Jul 8.
2
Successful living-related kidney transplantation in MYH9-related disorder with macrothrombocytopenia: lessons for the clinical nephrologist.MYH9相关疾病伴巨大血小板减少症患者成功进行亲属活体肾移植:给临床肾科医生的经验教训
J Nephrol. 2023 Jul;36(6):1707-1709. doi: 10.1007/s40620-023-01651-7. Epub 2023 May 31.
3
A familial case of MYH9 gene mutation associated with multiple functional and structural platelet abnormalities.
一个家族性 MYH9 基因突变病例与多种功能和结构血小板异常相关。
Sci Rep. 2022 Nov 20;12(1):19975. doi: 10.1038/s41598-022-24098-5.
4
Myosin Heavy Chain 9 (MYH9)-Related Congenital Macrothrombocytopenia.肌球蛋白重链9(MYH9)相关的先天性巨血小板减少症
Cureus. 2021 Aug 6;13(8):e16964. doi: 10.7759/cureus.16964. eCollection 2021 Aug.
5
Rare inherited kidney diseases: an evolving field in Nephrology.罕见遗传性肾病:肾脏病学中一个不断发展的领域。
J Bras Nefrol. 2020 Mar 20;42(2):219-230. doi: 10.1590/2175-8239-JBN-2018-0217.
6
Comprehensive genetic diagnosis of Japanese patients with severe proteinuria.对日本严重蛋白尿患者进行全面的基因诊断。
Sci Rep. 2020 Jan 14;10(1):270. doi: 10.1038/s41598-019-57149-5.
7
Next-generation sequencing for the diagnosis of MYH9-RD: Predicting pathogenic variants.下一代测序在 MYH9-RD 诊断中的应用:致病性变异的预测。
Hum Mutat. 2020 Jan;41(1):277-290. doi: 10.1002/humu.23927. Epub 2019 Oct 15.
8
MYH9-related disorders display heterogeneous kidney involvement and outcome.与MYH9相关的疾病表现出肾脏受累情况和预后的异质性。
Clin Kidney J. 2018 Dec 17;12(4):494-502. doi: 10.1093/ckj/sfy117. eCollection 2019 Aug.
9
MYH9-related disease: it does exist, may be more frequent than you think and requires specific therapy.MYH9相关疾病:它确实存在,可能比你想象的更常见,且需要特定治疗。
Clin Kidney J. 2019 Aug 1;12(4):488-493. doi: 10.1093/ckj/sfz103. eCollection 2019 Aug.
10
Eltrombopag for the treatment of inherited thrombocytopenias: a phase II clinical trial.依洛尤单抗治疗遗传性血小板减少症:一项 II 期临床试验。
Haematologica. 2020 Mar;105(3):820-828. doi: 10.3324/haematol.2019.223966. Epub 2019 Jul 4.